Tyson Dekorse, M.D. is a student in an organized health care education training program in Provo, UT. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Tyson Dekorse, M.D. NPI is 1043421936. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
475 W 940 N
PROVO, UT
ZIP 84604-301
Phone: (801) 357-7940
The enumeration date for this NPI number is 5/24/2007 and was last updated on 1/12/2009.